PMHNP Georgette Review Exam Questions with Correct Answers 2023/2024 Verified

When many answers are remarkably similar, they are usually _____________ - Correct Answer wrong Interprofessional collaboration is encouraged. - Correct Answer Collaborate is usually right. Delegate is usually wrong. ADPIER - Correct Answer Assessment, diagnosis, Plan, intervention, evaluate, refer out last. Lithium - Correct Answer Normal 0.6-1.2 Lithium toxicity occurs at levels - Correct Answer 1.5 Signs of Lithium toxicity - Correct Answer severe nausea, diarrhea, vomiting, confusion, drowsiness, muscle weakness, heart palpitation, coarse hand tremors, unsteady gait Lithium is gold standard for - Correct Answer MANIA Lithium has evidence shown to - Correct Answer reduce suicidal ideation What does lithium cause in neonate, especially 1st trimester - Correct Answer Ebstein anomaly (congenital heart defect) dehydration and hyponatremia cause lithium levels to - Correct Answer rise Baseline labs before initiation of lithium - Correct Answer TSH creatinine (0.6-1.2) BUN (10-20) HCG (all psychotropics females 12-51) EKG 50+ Urinalysis (check for proteins, 4+ may indicate kidney disease) Side Effects of Lithium - Correct Answer hypothyroidism coase hand tremors with toxicity maculopapular rash diarrhea, vomiting, cramps--signs of toxicity. Monitor closely. anorexia t wave inversions leukocytosis